宫颈癌甲状腺转移:对临床医生的不寻常影响-病例报告。

IF 2.8 3区 医学 Q3 ENDOCRINOLOGY & METABOLISM BMC Endocrine Disorders Pub Date : 2024-12-20 DOI:10.1186/s12902-024-01814-y
Qian Yang, Weipeng Yan, Ning Wang, Pengfei Xu, Qing Huang
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引用次数: 0

摘要

背景:宫颈癌甲状腺转移极为罕见。影像学检查和病理检查对区分甲状腺良恶性肿瘤、鉴别转移性甲状腺癌和原发性甲状腺癌具有关键作用。病例报告:在此,我们报告两例宫颈癌转移至甲状腺的病例,经我院术后组织病理学证实。并通过查阅相关文献,对本病的影像学表现、病理特征、诊断、预后及治疗进行综合分析。这两个病例没有表现出特定的实验室指标,使影像学检查成为重要的辅助工具,而病理学仍然是诊断的金标准。结论:虽然甲状腺恶性肿瘤主要以原发肿瘤出现,但对于有癌症病史的患者,考虑转移的可能性至关重要。甲状腺转移相对罕见,但可能发生,特别是在其他癌症的晚期。宫颈癌甲状腺转移的不良预后给临床医生带来了巨大的障碍。转移性甲状腺癌的手术切除可作为一种替代方法,可缓解压迫症状并在一定程度上延长生存期。需要进一步的研究来优化该疾病的临床结果。
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Thyroid metastases from cervical carcinoma: unusual implications for clinicians-case report.

Background: Thyroid metastases from uterine cervical carcinoma are exceedingly rare. Imaging examination and pathological detection exert a pivotal function in distinguishing between benign and malignant thyroid tumors, as well as differentiating metastases from primary thyroid cancer.

Case presentation: Here, we present two cases of uterine cervical cancer metastasizing to the thyroid gland, confirmed by postoperative histopathology at our hospital. Furthermore, we conduct a comprehensive analysis of the imaging appearances, pathological characteristics, diagnosis, prognosis and treatment of the disease through a review of relevant literature. The two cases do not exhibit specific laboratory indicators, making imaging examinations important auxiliary tools, while pathology remains the gold standard for diagnosis.

Conclusions: Although thyroid malignancies predominantly arise as primary tumors, it's crucial to consider the possibility of metastases in patients with a history of cancer. Metastases to the thyroid are relatively uncommon but can occur, particularly in advanced stages of other cancers. Poor outcomes of thyroid metastases from cervical carcinoma have presented significant hurdles for clinicians. Surgical excision of metastatic thyroid cancer may serve as an alternative, offering relief from compression symptoms and prolonging survival to some extent. Further studies are crucially needed to optimize clinical outcomes of the disease.

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来源期刊
BMC Endocrine Disorders
BMC Endocrine Disorders ENDOCRINOLOGY & METABOLISM-
CiteScore
4.40
自引率
0.00%
发文量
280
审稿时长
>12 weeks
期刊介绍: BMC Endocrine Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of endocrine disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
期刊最新文献
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